NPI | 1215290192 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WA OP60930973) |
Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IN 02004288A) |
207RC0200X Internal Medicine Critical Care Medicine (Licence: IN 02004288A) | |
Enumeration Date | 2012-06-16 |
Last Update Date | 2021-06-16 |